Tips & info

Corrective action notice

December 2001
Employee Name
_____________________________ 		Employee SSN
_____________________________
Verbal
_____________________________ 		 
1st written
_____________________________ 		 
2nd written & suspension
_____________________________ 		 
Description of incident:
_____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 		Future Expectations of Employee:
_____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________
Consequences of Repeated Behavior:
_____________________________ 		 
   
I have read the above and understand  
Employee signature:
_____________________________ 		Date:
_____________________________
Supervisor signature:
_____________________________ 		Date:
_____________________________
Witness:
_____________________________ 		Date:
_____________________________